Hortense Ambrose, LPC

Individual provider Active NPI Professional Counselor · Vacherie, LA

NPI 1710353032 · NPPES record last updated Aug 20, 2015

Key facts

NPI
1710353032
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
4800 (LA)
Practice address
1296 Magnolia Heights St
Vacherie, LA 70090-5506
Phone
(225) 624-9703
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4800LAMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4800 LA Yes

Addresses

Primary practice location

1296 Magnolia Heights St
Vacherie, LA 70090-5506

Mailing address

1296 Magnolia Heights St
Vacherie, LA 70090-5506
Phone (225) 624-9703

Other providers in Vacherie, LA

All providers in Vacherie, LA · Professional Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.